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Foods that harm and foods that heal

Jun 03, 2018

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    Australia and New Zealand have some of the best food supplies in

    the world. In spite of such abundance (or perhaps because of it),

    many people make poor nutritional choices. The typical diet in

    both countries is high in fat, salt, sugar and alcohol and low in dietary

    fibre. As a result, more than two-thirds of men, just over half of all

    women and a quarter of our children are overweight.

    Although coronary heart disease has dropped markedly over the

    last 35 years, rates are still high and there is currently concern that the

    increasing incidence of obesity will lead to a rise in heart attacks. High

    blood pressure is also common and type 2 diabetes has tripled in the

    last 20 years. Australia and New Zealand also have among the worlds

    highest incidence of colorectal cancer.

    Thats the bad news. The good news is that its easy to make changes

    to reduce the risk of every one of these health problems, once you

    understand more about food and nutrition.

    Adopting a healthy diet can allow you to control your weight, increase

    your energy levels and prevent many health problems. It can also reduce

    the risks associated with high blood fats and can help prevent conditions

    such as type 2 diabetes, gallstones, high blood pressure and heart

    disease, some cancers, iron-deficiency anaemia, constipation, joint

    problems and osteoporosis.

    Nutrition is a minefield of misinformation, and many people report

    that they are confused about what they should be eating, and dont know

    where to go for sound advice they can understand. Facts from genuine

    experts can reduce confusion and provide a simple guide to healthy and

    enjoyable eating that can lead to improved health and energy.

    Arranged alphabetically, each entry in Foods that Harm, Foods that

    Healhas been written by experts and has been thoroughly checked to

    ensure it is relevant for Australians and New Zealanders. All facts and

    figures come from qualified and unbiased sources.

    Foods that Harm, Foods that Heal will increase food literacy, and,

    as we learn more about food and nutrition, we can free ourselves from

    conflicting theories and confusion about different diets and understand

    just how good and easily achievable a healthy diet can be.

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    Hundreds of studies link fruit

    and vegetables rich in anti-

    oxidants to a lower risk of

    heart disease, cancer and many

    other illnesses. But is it due to

    some specific compounds found

    in plant products or is it some

    special combination of nutrients?

    Or is it that people who eat lots

    of fruit and vegetables eat less

    meat, or that they consume fewer

    kilojoules? Whatever the case,

    the anti-oxidant theory merits

    investigation.

    Just as a burning fire needsoxygen, every cell in our bodies

    needs a supply of oxygen to derive

    energy from digested food. But

    consuming oxygen generates free

    radicals, unstable molecules that

    can damage healthy cells. Free

    radicals are highly reactive because

    they contain an unpaired electron,

    and electrons prefer to pair up. So

    free radicals search for a molecule

    from which they can steal an

    electron. The molecular victim then

    goes in search of an electron to

    satisfy its deficiency and sets off a

    chain reaction that results in the

    creation of more free radicals. A

    molecule that has lost electrons in

    this way has been oxidised.

    Other factors can also promote

    free-radical formation in the body,

    such as radiation (including X-rays),

    cigarette smoke, alcohol and

    environmental pollutants. Excessive

    free radicals can damage DNA and

    other genetic material. The bodys

    immune system seeks out and

    destroys these mutated cells, butthis mechanism declines with age.

    Anti-oxidants are molecules

    that interact with and stabilise free

    radicals, preventing the damage they

    might cause. Researchers have

    identified hundreds of anti-oxidants

    in our foods, including vitamins C

    and E; selenium and carotenoids

    such as beta carotene and lycopene.

    Numerous other phytochemicals

    (chemicals derived from plants),

    such as the polyphenols in tea and

    Anti-oxidantsSorting facts from hype

    Research on anti-oxidant supplementation in the form of pills

    has yielded conflicting results. But one thing is sure: eating a diet

    high in foods that are rich in anti-oxidants is a smart choice.

    wine, have anti-oxidant properties.

    Anti-oxidants also help prevent

    heart disease by hindering

    oxidation of LDL (low-density

    lipoprotein), the harmful cholesterol

    that damages arteries. Hundreds

    of studies link diets rich in anti-

    oxidants to a lower risk of cancer

    and heart disease, as well as other

    degenerative diseases.

    RESEARCH IS ONGOING

    Less clear is the effect of anti-

    oxidant supplementation on health.

    Some large-scale clinical trials have

    reached inconsistent conclusions.

    In five trials on the effects of anti-

    oxidant supplements, results

    ranged from a reduced incidence

    of gastric cancer, to a possible

    increase in the lung cancer rate.

    In the US, two dozen studies on

    the use of anti-oxidants to reduce

    the risk of cancer and heart disease

    concluded that people taking

    supplements for the sole purposeof preventing heart disease or

    cancer are basically

    creating expensive

    urine. The pooled

    results from

    studies found that vitamin E provides

    no benefits to people suffering

    from cardiovascular disease and

    that beta carotene supplements

    actually increase the risk slightly.

    Although results to date have

    been disappointing, research

    continues. It may be that the

    benefits of supplements show up

    only after many years. For now,

    anyone taking supplements withamounts of nutrients higher than

    the RDIs should review their intake

    with their doctor, particularly if

    they are taking any prescription

    drugs. High doses of vitamin E can

    interfere with blood clotting and

    can increase the risk of a bleeding

    emergency. Some anti-oxidants

    may also reduce the effectiveness

    of the statin drugs, which are taken

    to reduce cholesterol levels.

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    Anti-oxidant powerResearchers have investigated and identified literally hundreds of anti-oxidant phyto-

    chemicals in our food, from vitamins to pigments, that protect against disease, and

    the list continues to grow. Here are the main ones:

    ANTI-OXIDANT FUNCTION FOOD SOURCES

    VITAMIN C

    VITAMIN E

    CAROTENOIDS

    Beta carotene

    Lutein, zeaxathin

    LYCOPENE

    FLAVONOIDS

    Anthocyanidins

    Hesperidin

    Isoflavones

    Quercetin

    SELENIUM

    CO-ENZYME Q10

    Protects against heart disease, cataracts andpossibly macular degeneration.

    May help prevent heart disease and prostatecancer, and slow progression of Alzheimers.

    Protective against some cancers and heartdisease.

    Protects against macular degeneration.

    May protect against prostate cancer, lungcancer and heart disease.

    Protective against cancer.

    Protective against heart disease and cancer.

    Protective against heart disease and cancer.

    Protective against heart disease and cancer.

    May help prevent prostate cancer, colon cancerand lung cancer.

    May help reduce risk of heart disease. Workstogether with vitamin E.

    Citrus fruit, tomatoes, melon, strawberries, kiwifruit, capsicums, broccoli.

    Nuts and seeds, oils, fruits and vegetables.

    Orange and dark green vegetables, includingcarrots, sweet potatoes, pumpkin, broccoli,kale, spinach, apricots, peaches and rockmelon.

    Dark green leafy vegetables, corn, capsicums,spinach, cabbage, oranges.

    Tomatoes, pink grapefruit, watermelon.

    Blueberries, cranberries, blackberries, plums,blackcurrants, cherries, black grapes.

    Citrus fruit and juices.

    Onions, apples, berries, black grapes, kale,broccoli, red wine.

    Soy, legumes, peanuts.

    Whole grains, nuts, silver beet, onions, garlic,poultry, seafood, meat.

    All plants and animal foods.

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    cancer

    EAT PLENTY OF

    ! Citrus and other fruit and dark green

    or yellow vegetables for vitamin C,

    ! beta carotene, bioflavonoids and the

    plant chemicals that protect against

    cancer.

    !

    Wholegrain breads and cereals andother high-fibre foods to promote

    smooth colon function.

    LIMIT

    ! Fatty foods, especially those high in

    saturated fats.

    ! Alcoholic beverages.

    ! Salt-cured, smoked, fermented and

    charcoal-grilled foods.

    AVOID

    ! Foods that may contain pesticide

    residues and environmental pollutants.

    Research has dramatically changed

    our thinking about the role of diet in

    both the prevention and the treatment

    of cancer. Its increasingly clear that

    some dietary elements may help

    promote the development and spread

    of malignancies, while others slow or

    block tumour growth. Its estimated

    that at least 35 per cent of all cancers

    may be related to diet, especially one

    high in saturated fat and processed

    foods; it is believed that many cancers

    could be prevented by dietary changes.

    APPLES, BERRIES, BROCCOLI AND OTHER CRUCIFEROUS VEGETABLES and citrus fruit

    contain flavonoids, which act as anti-oxidants. Flavonoids are also thought to prevent

    DNA damage to cells.

    TOMATOES AND TOMATO PRODUCTS contain lycopene, which has been found to have

    protective effects against prostate cancer.

    ONIONS AND GARLIC contain sulfur compounds that may stimulate the immune systems

    natural defences against cancer, and theymay have the potential to reduce tumour

    growth. Some studies suggest that garlic

    can reduce the incidence of stomach cancer

    by a factor of twelve.

    GREEN TEA contains EGCG, a catechin that

    may help fight cancer in three ways: it may

    reduce the formation of carcinogens in the

    body, increase the bodys natural defences

    and suppress cancer promotion. Some

    scientists believe that EGCG may be one of

    the most powerful anticancer compounds

    ever discovered.

    BRAZIL NUTS, SEAFOOD, SOME MEATS AND

    FISH, BREAD, WHEAT BRAN, WHEAT GERM, OATS

    AND BROWN RICE are the best sources ofselenium, a trace mineral that is another

    powerful cancer-fighter. In one major study,

    selenium significantly reduced the incidence

    of lung, prostate and colorectal cancers

    in participants who received 200 mcg

    selenium for 4.5 years. This has led to

    follow-up studies investigating whether

    selenium in combination with vitamin E

    has a protective effect against prostate

    cancer. Plant foods, especially wheat, provide

    much of the selenium in the Australian diet

    although their selenium content will vary

    according to the selenium content of the soil

    in which they are grown.

    Top cancer-fighting foodsThe anticancer dietEat more fruit and vegetables.

    Compelling data associate a diet that

    provides ample fruit and vegetables

    with a reduced risk of many of our

    most deadly cancers. These foods are

    rich in bioflavonoids and other plant

    chemicals; dietary fibre; folate and

    anti-oxidants from the carotenoid

    family and vitamin C. All of these

    substances may slow, stop or reversethe processes that can lead to cancer.

    They do so through several protective

    mechanisms: by neutralising or

    detoxifying cancer-causing agents

    (carcinogens); by preventing

    precancerous changes in cellular

    genetic material due to carcinogens,

    radiation and other environmental

    factors; by inducing the formation of

    protective enzymes; and by reducing

    the hormonal action that can stimulate

    tumour growth. Folate is crucial for

    normal DNA synthesis and repair, and

    low levels are thought to make cells

    vulnerable to carcinogenesis.

    Reduce your fat intake. Equallyimportant is a reduced intake of

    saturated fats. Numerous studies link

    a high-fat diet and obesity with an

    increased risk of cancers of the colon,

    uterus, prostate and skin (including

    melanoma, the most deadly form of

    skin cancer). The link between fat

    consumption and breast cancer is

    more controversial. Experts stress

    that no more than 30 per cent of total

    kilojoules should come from fats, and

    many advocate a 20 per cent limit on

    fat kilojoules. Often, it takes only a

    9

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    their cancer risk. One is to consume

    broccoli or related cruciferous vege-

    tables several times a week. These

    members of the cabbage family are

    known to be appreciably high in

    certain cancer-fighting compounds,

    including bioflavonoids, indoles,

    monoterpenes, phenolic acids and

    plant sterols, precursors to vitamin D.

    Sulforaphane, a chemical particularly

    abundant in broccoli, is one of the

    most potent anticancer compoundsidentified to date; various studies show

    that eating broccoli several times a

    week lowers the incidence of lung

    cancer among smokers compared to

    those whose diet does not include

    the vegetable.

    Low levels of vitamin C are linked

    to an increased risk of many of the

    cancers related to smoking. Because

    smoking works to deplete the bodys

    reserves of vitamin C, its a good idea

    for smokers to increase their intake

    of citrus fruit and other good sources

    of this nutrient. Similarly, smoking

    can deplete the bodys stores of folate

    and other B-complex vitamins. The

    increased consumption of lean meat,

    grains, fortified cereals, legumes

    and green leafy vegetables may help

    counter this adverse effect.

    Limit your consumption of

    processed foods.People who eat large

    amounts of smoked, pickled, cured,

    fried, charcoal-grilled and processed

    meats have a higher incidence ofstomach and oesophageal tumours.

    Smoked foods contain polyaromatic

    hydrocarbons that are known

    carcinogens. The salt in pickled foods

    can injure the stomach wall and

    facilitate tumour formation. Nitrites,

    commonly found in bacon and hot

    dogs, as well as in processed meats,

    can form nitrosamines, established

    carcinogens. However, consuming

    these foods along with good sources

    of vitamins C and E reduces the

    formation of nitrosamines.

    few simple dietary changes to lower fat

    intake; for example, choosing lean cuts

    of meat; trimming away all visible fat;

    eating vegetarian dishes several times

    a week; adopting low-fat cooking

    methods, such as baking and steaming;

    and limiting the use of added fats such

    as butter, margarine, mayonnaise,

    shortening and oils.

    Eat more fibre.Increased intake

    of fibre may protect against cancer. Itspeeds the transit of waste through the

    colon, which some researchers think

    cuts the risk of bowel cancer. A high-

    fibre, low-kilojoule diet also protects

    against obesity and the increased risk

    of cancers linked to excessive body fat.

    Break high-risk habitsLimit your alcohol intake. Doctors

    warn against heavy use of alcohol,

    which is associated with an increased

    risk of cancers of the mouth, larynx,

    oesophagus and liver. Excessive

    alcohol consumption hinders the

    bodys ability to use carotenoids,

    which appear to protect against these

    cancers. Alcohol can deplete reserves

    of folate, thiamin and other B vitamins,

    as well as selenium. Folate is known

    to reduce proliferation of cancer cells,

    while low levels of folate are also

    associated with an increased risk of

    cervical cancer. Researchers have

    found that giving folate supplements

    slows the proliferation of otherprecancerous cells.

    Stop smoking.Smoking, more

    than any other single lifestyle factor,

    increases the risk of cancer; stopping

    the habit is the most important step

    that a smoker can take to avoid cancer.

    In addition to lung cancer, smoking is

    strongly associated with cancers of the

    oesophagus, mouth, larynx, pancreas

    and bladder; recent studies also link it

    to an increased risk of breast cancer.

    For people who find it impossible to

    stop smoking, there are some dietary

    measures that can somewhat lower

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    The suggestions in the following chart can help ensure nutritious and

    delicious choices in fast food.

    BEST PICKS GO EASY ON

    JAPANESE

    Teriyaki beef, chicken or prawn; yakitori chicken; miso soup;

    stir-fries; sushi; sashimi; noodle soup dishes

    ITALIAN

    Pasta with tomato or marinara sauce; green salads;pizza with lots of vegetables and light on cheese;

    minestrone soup

    MEXICAN

    Chicken fajitas, enchiladas, soft-shell beef taco, bean burrito

    (hold the sour cream and cheese); salsa

    GREEK

    Lean souvlaki or chicken kebab with salad, dressing on the

    side; tzatziki (cucumber in yoghurt)

    BURGERS

    Plain or vegie burger with lettuce, tomato, beetroot

    and onions; grilled chicken on a bun

    ASIAN

    Soups; mixed vegetables; steamed rice, steamed dim sum;stir-fries; noodles with seafood, chicken or beef

    SANDWICHES

    Turkey, chicken breast, lean corned beef; grilled vegetables;

    egg sandwiches; salad vegetables

    SUB SHOPS

    15-cm sub under 6 range, with beef, turkey,

    chicken or seafood, lots of vegetables,

    low-fat salads

    CHICKEN

    Roast chicken sandwich or wrap, grilled chicken,

    barbecued chicken (remove skin)

    Fast-food hunting?

    Tempura dishes, tonkatsu (breaded,

    deep-fried pork cutlets)

    Pasta with cream sauces; doublecheese pizza with fatty-meat

    toppings, cream sauces

    Nachos and cheese, guacamole,

    refried beans, fried taco shells

    Stuffed pastry

    Fries, onion rings, mayonnaise,

    bacon and cheese toppings

    Chicken wings, anydeep-fried dishes

    Sausage or salami salad

    with mayonnaise

    Caesar, horseradish steak and

    cheese; meatballs; fried

    chicken fillet

    Deep-fried, or nuggets, or fingers,

    stuffing; chicken skin

    Australia is ranked in the top

    10 countries in the world

    for fast-food consumption.

    New Zealanders are only a little

    behind. Some critics blame this

    growing reliance on fast food,

    which is typically high in fat, sugar,

    salt and kilojoules, and the super-

    sizing of portions for the increasing

    incidence of excess weight and

    obesity, especially in children

    and teenagers. Everyone loves a

    super value deal. But is it really a

    bargain when you end up buyingunwanted fat, kilojoules and sodium

    along with the bigger portion? A

    decade ago, an original burger,

    fries and coke at McDonalds in the

    US contained 2770 kilojoules. Now

    a super-size value meal contains

    an incredible 6070 kilojoules, or

    more than two-thirds of what most

    people need in a day. Fast-food

    chains often advertise combo

    meals that offer reduced prices

    if you buy multiple items. Some

    fast-food establishments now offer

    some lower-kilojoule, healthier

    fare, but most foods at fast-food

    chains are loaded with fat, salt and

    kilojoules, and have very little fibre.

    Most fast food is high in saturated

    fat. Fried foods also tend to contain

    significant levels of trans fats, the

    manufactured fats created when

    hydrogen is added to vegetable oil

    to make it more solid and stable.

    Fast-food chains such as

    McDonalds have made commitments

    to reduce saturated fats in theirproducts and to introduce more

    nutritious menus or food items.

    Many fast-food establishments

    have added a variety of healthier

    choices to their menus, including

    salads, sandwiches, soups, low-fat

    frozen yoghurts and juices. Some

    chains also provide a nutrition

    analysis on their websites or make

    copies available in their restaurants

    to help nutrition-conscious diners

    eat healthily.

    Fast foodEating on the run

    Fast-food restaurants are spreading throughout Australia and

    New Zealand, even being established in hospitals. According to

    market research, 30 per cent of Australians are eating fast food

    at least once a week.

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    naturally occurring soil bacterium

    that is toxic to the larvae of several

    species of insects but harmless to

    wildlife and people. Not all of these

    organic pesticides are harmless,

    howeversome can cause allergic

    reactions. Naturally occurring

    copper compounds can also be

    used in organic agriculture, even

    though they are potentially toxic in

    large quantities.

    Organic foods can also becontaminated with synthetic

    agricultural chemicals carried

    by the wind from other fields,

    or persist in the soil. Still, the

    pesticide levels are much lower

    than in conventional foods. A

    survey in Victoria tested samples

    of organic produce for pesticide

    residues and found that residues

    were at or below detectable limits.

    This contrasts with a study in the

    United States where organically

    grown products had lower levels of

    residues than conventionally grown

    food, but still contained about one-

    third the quantity.

    IS ORGANIC FOOD MORE

    NUTRITIOUS?

    Some studies suggest a difference

    in nutritional value, but they

    are far from conclusive. One

    study published in the Journal of

    Agricultural and Food Chemistry

    found that frozen organic cornhad 52 per cent more vitamin C

    than conventional corn. An Italian

    study in the same journal found

    that organic peaches and pears

    have higher levels of polyphenols,

    and slightly more vitamin C (8 per

    cent). Another found that organic

    soup had more salicylic acidan

    anti-inflammatory compound found

    in foodthan nonorganic soup.

    Even if the differences in these

    studies are real, they are small.

    Youd get a lot more vitamin C

    Only a few years ago,

    organic foods were found

    solely in health-food shops

    or at farmers markets. Today

    supermarkets stock organic fruit

    and vegetables, meats, milk,

    poultry, eggs, cereals, honey, wines,

    yoghurt, cream and cheeses. The

    organic industry is growing rapidly,

    with increases of 2030 per cent

    annually.

    Consumers are willing to spend

    more money for organic foods,

    which are now much improved in

    quality and variety. But what are

    they getting for the money?

    THE MEANING OF ORGANICOrganic food is produced by

    farmers who grow, handle and

    process crops without synthetic

    fertilisers, pesticides or herbicides,

    or artificial ingredients. Organic

    food is not irradiated and does

    not contain genetically engineered

    ingredients. Organic meat, poultry,

    eggs and dairy products come

    from animals that are given no

    antibiotics or growth hormones.

    Organic food crops can be grown

    with pesticides, howeverjust not

    synthetic ones. One popular organic

    pesticide isBacillus thuringiensis, a

    Organic foodsAr e the y wo rth the cos t?

    If you are concerned about pesticide residues in foods today, you

    can turn to organic productsbut dont expect them necessarily

    to be nutritionally superior.

    Whats best to buy?

    Organic food is often more expensive, but one way to save money is to

    buy organic produce only for those foods where the nonorganic examples

    have been documented to have the highest pesticide residues.

    ! Fruit: peaches, nectarines, apples, grapes, pears, cherries, raspberries,

    strawberries.

    ! Vegetables: green beans, spinach, capsicums, celery and potatoes.

    ! Meat: Most people worry about fruit and vegetables, but animals accumulate

    more residues, especially in their fat. Cattle raised for organic beef have not

    had hormone implants, a practice that occurs in many other cattle.

    ! Organic poultry and eggs will not have been given routine antibiotics as growth

    promotants.

    ! Wheat products, including cereals. These have not been treated with fumigants

    during storage.

    Organic labelling

    Organic-certified produce means the food was grown, harvested, stored and

    transported without the use of synthetic chemicals, irradiation, genetic engineeringor fumigants. While exported organic produce must meet the National Standard

    for Organic and Biodynamic Produce, the Food Standards Code has no specific labelling

    requirements or restrictions for organically grown food in Australia.

    However, foods sold as organic are expected to contain negligible

    quantities of pesticide residues. To ensure any food you buy is

    organically grown, check for the Organic Retailers and Growers

    Association of Australia (ORGAA) notice, which should be prominently

    displayed in the shop. Choose foods labelled certified organic from an

    accredited certifying organisation. Also check any packaging for the

    growers name and certification number. Claims that a product is

    natural or chemical free do not equate to organically grown.

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    eating an extra orange than in

    choosing organic corn for dinner.

    The label Certified Organic is

    not meant to be a nutrition claim.

    Nor does it mean that the food is

    any less likely to be contaminated

    with pathogens that cause food-

    borne illness: Organic chickens and

    eggs can be contaminated with

    salmonella and other food-borne

    pathogens, just like conventional

    chickens and eggs.

    THE SAFETY FACTOR

    Is organic food safer to eat than

    conventionally produced food?

    Synthetic pesticides, herbicides,

    fungicides, insecticides and other

    agricultural chemicals can have

    adverse health effects on the farm

    workers who use them. But the

    evidence is not conclusive about

    their effect on consumer health.

    What needs to be determined is the

    effect of lower levels of intake over

    a lifetime, which is more difficult

    for researchers to establish.There may be a greater benefit

    in shielding children from pesticide

    residues since their bodies are

    smaller and they eat a less varied

    diet. In a University of Washington

    study, preschoolers whose families

    ate primarily organic foods

    had much lower urine levels of

    organophosphate pesticides. While

    the researchers found that children

    who ate conventional foods were

    more likely to be exposed to these

    pesticides at levels above those

    recommended by the United States

    government, such guidelines have

    a wide margin of safety. So theres

    no clear evidence that there is a

    risk to eating conventional food, or

    a benefit to eating organic ones.

    Environmental benefits are more

    clearly established. Agriculture

    that relies on organic methods

    helps prevent soil erosion, protects

    groundwater and preserves wildlife.

    THE BOTTOM LINE

    Australians and New Zealanders

    enjoy an abundant and safe food

    supply. However, it comes with a

    price. Scientists are concerned that

    modern agricultural methods and

    our liberal use of pesticides are

    upsetting the delicate ecological

    balance and creating major

    problems. We have seen this in thepastfor example, the decimation

    of bird populations that led to the

    banning of DDT. There are also

    questions about the link between

    pesticide use and cancer rates.

    Consumers who are concerned

    about chemical residues can now

    purchase organic alternatives.

    stroke

    EAT PLENTY OF

    ! Fresh fruit and vegetables for

    vitamin C, potassium and important

    anti-oxidants.

    ! Nuts, seeds, vegetable oils, wheat

    germ for vitamin E.

    ! Oily fish for omega-3 fatty acids.

    ! Oat bran, legumes, linseeds, psyllium

    and fruit for soluble fibres.

    ! Onions and garlic, which may help to

    prevent blood clots.

    LIMIT

    ! Animal and dairy products that are

    high in saturated fats and cholesterol.

    ! Salt, which can raise blood pressure.

    ! Alcohol use.

    AVOID

    ! Smoking.

    ! Excessive weight gain.

    Over 48,000 strokes occur in Australia

    each year. Stroke is the third-highest

    cause of death and a leading cause of

    disability. In New Zealand, around 7000

    strokes occur each year, with a higher

    incidence occurring in Pacific Island

    and Maori people, who are more likely

    to suffer a stroke at a younger age. The

    death rate from strokes is declining,

    but nearly a third of all strokes are

    fatal and at least half result in disability.

    Approximately 88 per cent of all

    strokes are ischaemic, occurring when

    a clot blocks blood flow to a part of

    the brain. Most of these clots form in

    an artery that is already narrowed by

    atherosclerosis, either in the brain itself

    or, more commonly, in the carotid

    artery in the neck. Ten per cent are

    haemorrhagic strokes, in which there

    is bleeding in the brain, such as from

    a burst blood vessel or severe headinjury. Haemorrhagic strokes, which

    are more likely to be fatal than those

    caused by clots, are more common in

    people with high blood pressure.

    The warning signs of a stroke

    include sudden weakness or numbness

    of the face, arm and leg on one side

    of the body; difficulty speaking or

    understanding others; dimness or

    impaired vision in one eye; and

    unexplained dizziness, unsteadiness or

    a sudden fall. Immediate treatment is

    critical, even if the symptoms disappear,

    as in the case of a mini-stroke (transient

    ischaemic attack), a common prelude

    to a full-blown stroke. Prompttreatment can be lifesaving, and it may

    also minimise permanent damage,

    which can include impaired movement,

    speech, vision and mental function.

    Preventive measures

    Despite the fact that we have a better

    understanding of the underlying

    causes, key risk factors, such as high

    blood pressure, heart disease, arterio-

    sclerosis and diabetes, many people

    persist in a number of unhealthy

    lifestyle habits that increase the risk of

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    22 23

    Diet alone can reduce the

    risk of stroke by 43 per cent

    A study of more than 43,000 health

    professionals showed that men who

    ate about 85140 g of fish one to three

    times a month were 43 per cent less

    likely to have an ischaemic, or clot-

    related, stroke during 12 years of

    follow-up. Men who ate fish more

    often did not reduce their risk anyfurther, suggesting that a small amount

    works just as well as a larger one.

    And, a study of nearly 80,000 women

    found that eating fish was linked to

    reductions in the risk of ischaemic, or

    clot-related, strokes, which account

    for over 80 per cent of all strokes.

    The study showed that women who ate

    about 120 g of fish two to four times

    weekly cut their risk by 48 per cent.

    Slight risk reductions were also found

    in those who ate fish once a week

    or less. Another study suggests that

    both men and women can reduce their

    ischaemic stroke risk by consuming

    five to six daily servings of vegetables

    and fruit.

    Did you know?a stroke; these include smoking,excessive use of alcohol, obesity and

    a sedentary lifestyle.

    Diet plays an important role in

    reducing or eliminating these risk

    factors.In fact, many of the same

    nutritional recommendations made for

    people who have heart disease, high

    blood pressure and blood cholesterol

    levels apply to people who are at risk

    for, or who have had, a stroke.Adopt a diet that is low in fats.

    A good starting point is to reduce

    your consumption of fats, especially

    saturated fats of animal or vegetable

    origin, and trans fats. Fruit, vegetables,

    lentils, legumes and whole grains

    should be eaten for their vitamins,

    minerals and flavonoids. Many of these

    foods, especially oats, lentils and

    linseeds, are high in the soluble fibres

    that help control cholesterol levels and

    reduce the risk of atherosclerosis. A

    wholegrain-based diet may similarly

    help reduce the risk for this condition.

    Preliminary evidence suggests that

    resveratrol, a phytochemical found

    in grapes, nuts and red wine, may

    inhibit blood clots and also help

    relax blood vessels. Population-based

    studies suggest that dietary flavonoids,

    particularly quercetin, which is found

    in apples, onions and berries, may

    reduce fat deposits in arteries that can

    block blood flow to the brain.

    Get lots of omega-3s.A number of

    other foods appear to lower the risk of

    a stroke. Some fish are rich in omega-3fatty acids, which help to prevent

    blood clots by reducing the stickiness

    of blood platelets. Doctors recommend

    eating two fish meals a week,

    especially salmon, trout, mackerel,

    sardines, swordfish or gemfish. Other

    sources of omega-3 fatty acids include

    walnuts and walnut oil, canola oil,

    linseeds, soy beans and leafy greens.

    Eat plenty of garlic and onions.

    Garlic and onions appear to decrease

    the tendency of the blood to clot, and

    may also boost the bodys natural clot-

    dissolving mechanism.

    Try Black Cloud ear mushrooms.

    A Chinese mushroom, also called thetree ear mushroom, may have similar

    beneficial effects. This mushroom is

    available from Asian grocers and some

    supermarkets, fresh or dried. It makes

    a tasty addition to soups, stir-fries and

    casseroles. One study suggested that a

    tablespoon of the soaked mushroom

    consumed three or four times a week

    may be as effective in preventing

    strokes and heart attacks as a daily

    aspirinbut without the risk of

    gastrointestinal irritation that aspirin

    may cause.

    Consume these foods for the right

    vitamins, minerals and anti-oxidants.

    A growing body of scientific evidence

    shows that vitamin E, too, reduces the

    tendency to form blood clots. Foods

    high in this anti-oxidant include wheat

    germ, nuts, seeds and green leafy

    vegetables. Other anti-oxidants include

    vitamin C, which strengthens blood

    vessel walls and thus may protect

    against brain haemorrhages; most fruit(especially citrus) and vegetables

    are good sources of vitamin C.

    Fruit and vegetables are high in

    potassium, an electrolyte that is

    instrumental in maintaining normal

    blood pressure.

    Anyone who has high blood

    pressure, or a family history of this

    disease or of strokes, should limit

    salt intake; the average intake of

    sodiuma main component of salt

    increases the bodys fluid volume and

    is a major cause of raised blood

    pressure.

    Limit alcohol.Numerous studies

    link excessive alcohol use, defined asmore than two drinks a day for men

    and one for women, to an increased

    incidence of stroke; the risk is

    compounded if the person also

    smokes. The best approach is to

    abstain completely from smoking

    and to use alcohol in moderation.

    Exercise.Regular exercise is helpful

    not only in reducing the risk of a

    stroke and heart attack by helping

    control weight and blood cholesterol

    levels, but also by promoting an

    enhanced sense of wellbeing.

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    Foods that Harm, Foods that Healis published by

    Readers Digest (Australia) Pty Limited

    80 Bay Street, Ultimo, NSW 2007

    Edited by Samantha Kent

    Art Director Carole Orbell

    First published 2012

    Material for this booklet first appeared in

    Readers DigestsFoods that Harm, Foods that HealCopyright Readers Digest (Australia) Pty Limited 2006

    Copyright Readers Digest Association Far East Limited 2006

    Philippines Copyright Readers Digest Association Far East Limited 2006

    All rights reserved. This volume may not be reproduced in whole or

    in part in any form without written permission from the Publisher.

    Readers Digest and The Digest are registered trademarks of

    The Readers Digest Association, Inc., New York, USA.

    Prepress by Sinnott Bros, Sydney, Australia

    Picture credits: Cover image Readers Digest.

    All other images courtesy of Shutterstock.

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